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JAMES P METZLER MD
NPI 1902828957
Family Medicine in Indianapolis, IN

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
10122 E 10TH ST, SUITE 210, INDIANAPOLIS, IN 46229(317) 355-2230 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2020, Apr 14, 2017, Feb 6, 2017 (3 updates tracked since 2017).

About James P Metzler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES P METZLER MD (NPI 1902828957) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01043099A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1902828957
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES P METZLERCredential: MD
Location Address10122 E 10TH ST, SUITE 210Indianapolis, IN 46229-2675
Mailing Address6626 E 75th St, Suite 500Indianapolis, IN 46250-2890
Phone(317) 355-2230
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1902828957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01043099A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10122 E 10TH ST, Indianapolis, IN 46229
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Other Identifiers 2

Other000000313011IN · Anthem
Medicaid200091710IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James P Metzler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799777223
PECOS Enrollment IDI20040402000273
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims32 services$5.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$62.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSA M ANDERSON MD
Pediatrics
10122 E 10TH ST, SUITE 240
INDIANAPOLIS, IN 46229
Marion County (317) 355-7337
MR. DANIEL JAMES FISHER MD
Family Medicine
10122 E 10TH ST, SUITE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
MR. JUSTIN ROBERT HOLLEN MD
Family Medicine
10122 E 10TH ST, STE210
INDIANAPOLIS, IN 46229
Marion County (317) 355-2230
RAGAN BRACKETT MD, MBA
Family Medicine
10122 E 10TH ST, SUITE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
ALLEN ANTWORTH PHARMD
Pharmacist
10122 E 10TH ST, SUITE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5717
TERESA M SCHAEFFER MD
Internal Medicine
10122 E 10TH ST, SUITE 220
INDIANAPOLIS, IN 46229
Marion County (317) 355-2200
HOLLY WHEELER DO
Family Medicine
10122 E 10TH ST, SUITE 100
INDIANAPOLIS, IN 46229
Marion County (317) 355-5913
JESSICA A COLE NP
Nurse Practitioner (Obstetrics & Gynecology)
10122 E 10TH ST, SUITE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-9220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Metzler's NPI number?

The NPI number for James Metzler is 1902828957. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Metzler located?

James Metzler practices at 10122 E 10th St Suite 210, Indianapolis, IN 46229. The listed phone number is (317) 355-2230.

What is James Metzler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Metzler enrolled in Medicare?

Yes. James Metzler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Metzler accept?

Health plans from CareSource list James Metzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Metzler was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.